Healthcare Provider Details

I. General information

NPI: 1760318448
Provider Name (Legal Business Name): GIANNINA SANCHEZ-OCNEAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 MARTIN ST
WEST ROXBURY MA
02132-6434
US

IV. Provider business mailing address

92 MARTIN ST
WEST ROXBURY MA
02132-6434
US

V. Phone/Fax

Practice location:
  • Phone: 617-429-0608
  • Fax:
Mailing address:
  • Phone: 617-429-0608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCSW
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: